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Ms. Rebekah Rogers
3060 Watts Farm Road
Charlottesville, VA 22911
(434) 422-0172

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Oct. 2, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced renewal inspection was conducted on October 2, 2018 during the hours of approximately 10:30 a.m. and 1:45 p.m. Twelve (12) children were enrolled and eleven children were in the care of the provider and one assistant during the on site inspection. Two resident children were also present in the home (total of 35 points). Five children's records, four caregivers' records and one household member's record were reviewed and/or updated. One child's medication, authorization form and administration record were reviewed. Facility documents were reviewed, safety equipment was observed (first aid kit, flashlight, radio and fire extinguisher) and posted information was viewed (license, licensing inspection documentation, daily schedule, weekly menu, emergency telephone numbers and emergency evacuation diagram/plan). Program observation was completed. Activities observed on this date included: indoor play (toys, books/stories); outdoor play; snack (yogurt and granola bars); diapering, restroom and handwashing procedures; naptime and infant care. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The children followed the daily routine and transitions well. Previously cited violations were reviewed for compliance (inspection date - 5/21/2018); one repeat violation was cited. Refer to the violation notice for the exceptions to compliance (background clearance, adult/child ratio and medication procedures). Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-111-220-A
Description: Based on observation of one child's prescription medication on October 2, 2018 and discussion with caregiver #1, the program failed to obtain the medication prescription label. Evidence: 1. Review of child F's prescription medication, authorization form and medication log, on this date, determined that the medication prescription label had not been obtained. The medication had been administered in August 2018. 2. Caregiver #1 confirmed the lack of the prescription label.

Plan of Correction: The child's parent will be contacted and the prescription label will be obtained.

Standard #: 22VAC40-111-570-A
Description: Based on observation and discussion with the caregivers on October 2, 2018, the point system exceeded 16 points per caregiver. Caregiver #1 failed to ensure an additional caregiver was present, as needed. Evidence: 1. On this date, eleven children were in the care of two caregivers (31 points). One three-year-old child, three two-year-old children, five toddlers (ages 16 months to two years) and two infants (ages six months and ten months) were present. Additionally, two resident children, ages two years and three years , were present in the home (4 points). 2. Caregiver #1 and caregiver #2 confirmed the number of children in care. Caregiver #1 verified the number of points (35).

Plan of Correction: This situation resulted from an error in calculation. There are usually three caregivers present with the children, as needed. In the future, each caregiver will not exceed 16 points.

Standard #: 63.2-1720.1-B-2
Description: Based on review and/or update of five caregiver and household member's records on October 2, 2018, the facility failed to obtain fingerprinting results for one caregiver by September 30, 2018. 1. Review of caregiver #4's record, on this date, determined that fingerprinting results were not on file (employment date - 6/12/2017). 2. Caregiver #1 confirmed the lack of fingerprinting results in the file.

Plan of Correction: The caregiver needed to cancel two previously scheduled appointments and completed the fingerprinting process today. In the future, fingerprinting results will be obtained prior to employment for all newly hired staff.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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